Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Clyburn Sr., MT

Individual provider Massage Therapist · NPI 1881130995

Antonio Clyburn Sr., MT is a Massage Therapist in Newcastle, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

6985 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Phone: (425) 378-0500
Fax: (425) 378-8168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA60698755 (WA)

Record details

NPI number1881130995
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorNo
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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